J0881 — Darbepoetin Alfa 100 Mcg/0.5 Ml In Polysorbate Injection Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE (HCPCS J0881) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0881?code_type=HCPCS
MLA (9th ed.)
“DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE (HCPCS J0881) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0881?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE (HCPCS J0881) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0881?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $150–$2,113 (25th–75th percentile) across 2,851 hospitals · 7,700 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0881 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$150
$752 typical
$2,113
The middle 50% of negotiated facility rates for this procedure, measured across 2,851 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $752 |
| Likely subtotal | $752 |
Facility charge (no separate professional fee)
$752
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $150–$2,113.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,499.64 | $1,749.82 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,423.86 | $783.12 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,678.89 | $9,077.06 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,423.86 | $783.12 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,499.64 | $1,749.82 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,678.89 | $9,077.06 | 2025-01-01 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.03 | $46.00 | $9.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.03 | $46.00 | $9.00 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | $0.05 | $2,086.35 | $1,564.76 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - PPO | $0.05 | $7,244.63 | $5,433.47 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $32,418.63 | $21,072.11 | 2025-11-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.13 | $12.50 | $12.50 | 2026-04-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $261.00 | $195.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $261.00 | $195.75 | 2026-09-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $648.00 | $460.08 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $3,473.00 | $2,465.83 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $3,473.00 | $2,465.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $13,663.00 | $9,700.73 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $2,152.00 | $1,527.92 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $648.00 | $460.08 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,177.00 | $835.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $2,152.00 | $1,527.92 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $13,663.00 | $9,700.73 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $3,473.00 | $2,465.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,177.00 | $835.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $648.00 | $460.08 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,321.00 | $3,777.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $9,675.00 | $6,869.25 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $13,663.00 | $9,700.73 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $9,814.00 | $6,967.94 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,541.00 | $1,094.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,177.00 | $835.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $2,889.00 | $2,051.19 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $2,360.00 | $1,675.60 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $2,152.00 | $1,527.92 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.23 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $0.23 | $3,328.20 | $2,063.48 | 2025-07-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| WEEKS MEDICAL CENTER BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.28 | $17.00 | $9.52 | 2025-11-12 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $2,291.00 | $1,718.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $2,291.00 | $1,718.25 | 2026-09-01 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.30 | $21.28 | $20.22 | 2026-07-15 | MRF ↗ |
| RUTLAND REGIONAL MEDICAL CENTER Both | Aetna Bayada Employer Group | Hmo | — | $993.74 | $894.36 | 2026-09-20 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL OutpatientFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | — | $464.40 | $464.40 | 2026-03-10 | MRF ↗ |
| JERSEY COMMUNITY HOSPITAL OutpatientFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | — | $464.40 | $464.40 | 2026-03-10 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.34 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.37 | $13.93 | $8.36 | 2025-12-30 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $0.37 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.37 | $18.68 | — | 2026-03-31 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.38 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $0.43 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $0.43 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.49 | $1.26 | $1.01 | 2026-09-25 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $0.49 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $0.49 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.50 | $1.26 | $1.01 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.50 | $1.26 | $1.01 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.50 | $1.26 | $1.01 | 2026-09-25 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $0.51 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $0.51 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.52 | — | — | 2026-03-31 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | PAMLICO CO JAIL-ALL PLANS | PAMLICO CO JAIL-ALL PLANS | $0.53 | $1.98 | $1.19 | 2026-07-17 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $0.57 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $0.58 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eternal Health Plan Medicare/SCAN Health Plan Medicare | $0.58 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $2,291.00 | $1,718.25 | 2026-09-01 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Pinnacol Assurance Workers Comp | Pinnacol Assurance WC | $0.60 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $0.60 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Aetna | Broad Network | $0.61 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Aetna | Joint Venture | $0.61 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Aetna | Designated Group | $0.61 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield Colorado | Medicare | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Longevity | Medicare Advantage | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | United Healthcare | UHC Medicare Advantage | $0.61 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $27.09 | — | 2026-07-01 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Kaiser CPMG (Colorado Permanente Medical Group) | Medicare PPO | $0.62 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.65 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $0.65 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $0.65 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $0.65 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.66 | $2,100.00 | $315.00 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.66 | $2,100.00 | $315.00 | 2025-12-23 | MRF ↗ |
| CAROLINA EAST MEDICAL CENTER Outpatient | CRAVEN CO. JAIL SYSTEMS - ALL PLANS | CRAVEN CO. JAIL SYSTEMS - ALL PLANS | $0.67 | $1.98 | $1.19 | 2026-07-17 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $0.67 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Devoted Health Services | Medicare Advantage | $0.67 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $0.67 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $0.68 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | United Healthcare | Nebraska Medicaid/CHIP | $0.70 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $0.72 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Oscar Health Plan | Commercial | $0.72 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Designated Group | $0.72 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Joint Venture | $0.72 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Broad Network | $0.72 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL OutpatientFacility | Assist Health Group | AHG Specialty Network | $0.73 | $1.45 | $0.69 | 2026-09-23 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | $0.75 | $551.48 | $330.89 | 2026-07-15 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | $0.75 | $551.48 | $330.89 | 2026-07-15 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Aetna | Medical Rental | $0.76 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $0.77 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $0.77 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $0.77 | $1.71 | $0.19 | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Quiktrip Corporation | Commercial | $0.78 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $0.78 | $1,423.86 | $1,181.80 | 2025-01-01 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER OutpatientFacility | Health Net | Commerical Exchange Product | $0.78 | $1.45 | $0.37 | 2026-03-02 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Designated Group | $0.81 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Broad Network | $0.81 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Aetna | Joint Venture | $0.81 | $1.92 | $0.22 | 2026-03-02 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Medrisk | Wc | $0.85 | $701.00 | $456.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $701.00 | $456.00 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.